Radiography最新文献

{"title":"Virtual reality simulation for mastery learning of wrist radiograph technique","authors":"","doi":"10.1016/j.radi.2024.09.002","DOIUrl":"10.1016/j.radi.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Virtual reality (VR) simulation is a technology that empowers students and radiographers to practice radiography in a virtual environment that resembles real-life clinical scenarios. The purpose of this randomised study was to examine the relationship between clinical specialty and the ability to assess and obtain a lateral wrist radiograph using a VR simulator.</p></div><div><h3>Methods</h3><p>Radiographers and radiography students were recruited from the EFRS Research Hub at the 2024 European Congress of Radiology. After completing a background questionnaire, participants entered a VR simulator where they assessed lateral wrist radiographs and, if necessary, attempted a retake. Fisher's exact test was used to evaluate the relationship between specialties and participants' ability to assess positioning and perform retakes. Rank-biserial correlation estimated the relationship between participants' ability to reposition the VR patient and their VR experience and self-perceived confidence in wrist radiograph positioning.</p></div><div><h3>Results</h3><p>The cohort included 173 participants from 14 specialties across 21 countries. There was a borderline significant trend between clinical specialty and correct positioning assessment (p = 0.052) and between self-perceived confidence in acquiring wrist radiographs and repositioning for a retake (p = 0.052). Neither clinical specialty (p = 0.480) nor previous VR experience (p = 0.409) correlated with ability to reposition for a retake.</p></div><div><h3>Conclusion</h3><p>While results indicated a potential correlation between participants' ability to position a VR patient and both clinical specialty and confidence in wrist radiography, these trends were not statistically significant. Nevertheless, the findings suggest that VR holds promise for radiography training, though further research is necessary to explore the factors that influence performance and learning.</p></div><div><h3>Implications for practice</h3><p>The incorporation of VR technology into standard radiography training programs could potentially improve patient outcomes by ensuring that radiography students are more skilled at acquiring quality radiographs prior to their first clinical practice. It should be noted though, that knowledge on positioning criteria and anatomy is an advantage when practicing correct positioning in a VR simulator.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424002190/pdfft?md5=0f86ed91577a9445a4355ca679240a01&pid=1-s2.0-S1078817424002190-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An initial exploration of factors that may impact radiographer performance in reporting mammograms","authors":"","doi":"10.1016/j.radi.2024.09.001","DOIUrl":"10.1016/j.radi.2024.09.001","url":null,"abstract":"<div><h3>Objectives</h3><p>In the United Kingdom, radiographers with a qualification in image interpretation have interpreted mammograms since 1995. These radiographers work under the title of radiography advanced practitioners (RAP) or Consultant Radiographer. This study extends upon what has been very recently published by exploring further clinical, non-clinical and experiential factors that may impact the reporting performance of RAPs.</p></div><div><h3>Methods</h3><p>Fifteen RAPs interpreted an image test set of 60 2D mammograms of known truth using the Detected-X software platform. Unknown to the reader, twenty cases contained a malignancy. Sensitivity, specificity, lesion sensitivity, receiver operating characteristic (ROC) and jack-knife free response operating characteristic (AFROC) values were established for each RAP. Specific features that had significant impact on accuracy were identified using Student's-T and Mann Whitney tests.</p></div><div><h3>Results</h3><p>RAPs with more than 10 years' experience in image interpretation, compared to those with less than 10 years’ experience, demonstrated lower specificity (51.3% vs 84.8%, p = 0.0264), ROC (0.83 vs 0.91, p = 0.0264) and AFROC (0.75 vs 0.87, p = 0.0037) values. Further, higher sensitivity values of 90.7% were seen in those RAPs who had an eye test in the last year compared to those who had not, 82% (p = 0.021). Other changes are presented in the paper.</p></div><div><h3>Conclusion</h3><p>These data reveal previously unidentified factors that impact the diagnostic efficacy of RAPs when interpreting mammographic images. Highlighting such findings will empower screening authorities to better examine ways of standardising performance and offer a baseline for performance benchmarks.</p></div><div><h3>Implications for practice</h3><p>This study for the first time performs an initial exploration of the factors that may be associated with RAP performance when interpreting screening mammograms.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424002189/pdfft?md5=3716c31510179ed96650a25bd34a6db5&pid=1-s2.0-S1078817424002189-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic radiography workforce expectations of learners against the 2023 HCPC standards of proficiency: Results of a UK Delphi study","authors":"","doi":"10.1016/j.radi.2024.08.014","DOIUrl":"10.1016/j.radi.2024.08.014","url":null,"abstract":"<div><h3>Introduction</h3><p>The UK Health and Care Professions Council revised the Standards of Proficiency for diagnostic radiographers in 2023 to reflect modern practices and service needs. This will impact on the training and assessment of learners throughout their programmes in order to support them to meet the threshold standards.</p></div><div><h3>Methods</h3><p>A Delphi survey was distributed to UK diagnostic radiographers to ascertain the stage of training in which they expect each standard of proficiency to be demonstrated by the learner.</p></div><div><h3>Results</h3><p>Ninety-four diagnostic radiographers responded to the survey and 58.5% (n = 55) completed the second round of the survey. Participants agreed on the stage of pre-registration training that 74.9% of standards should be met. However, for 19.6% of standards there was no consensus. In 5.5% of standards participants expected these to be met one year post qualification.</p></div><div><h3>Conclusion</h3><p>Agreement of when three quarters of the new Standards would be expected to be met during pre-registration training could support practice placement learning and assessment. However, there is some uncertainty around the Standards and the ability to provide appropriate resources, support, and expertise to enable learners to meet them.</p></div><div><h3>Implications for practice</h3><p>The consensus of expectations could inform stage appropriate learning opportunities aligned to the 2023 HCPC Standards within practice placements, and a standardised assessment, should the appetite be established. However, the UK diagnostic radiography profession still has some work to do in aligning expectations with the statutory regulatory body requirements and preparing all staff to support learners to meet all threshold standards at point of qualification.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424002141/pdfft?md5=64ffa1d4c4010a05645c77dd2f9367a0&pid=1-s2.0-S1078817424002141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hope and trust in diagnostic imaging contexts – Constituting technology and liminal patients","authors":"","doi":"10.1016/j.radi.2024.07.016","DOIUrl":"10.1016/j.radi.2024.07.016","url":null,"abstract":"<div><h3>Introduction</h3><p>This study investigates patients’ experience of selected imaging examinations and how human experiences are transformed through technological mediation.</p></div><div><h3>Method</h3><p>A qualitative study of patients' experiences during selected imaging examinations, centering on human-technology relations, was conducted.</p><p>Data was gathered in two Danish hospitals, through semi-structured interviews and participant observations. The study included fifteen diagnostic imaging examination cases, distributed over three Computed Tomography (CT)-guided lung biopsy interventions, seven conventional CT examinations, and five Positron Emission Tomography CT examinations. The participating patients were undergoing investigation for cancer within Fast Track Cancer Referral Programs (FTCRP).</p><p>The study has a philosophical approach to practice grounded in Postphenomenology and draws on anthropological studies of healthcare practice as its theoretical and analytical framework.</p></div><div><h3>Results</h3><p>Diagnostic imaging technologies were found to have existential implications creating hope and trust in patients. Patients demonstrated <em>technological readiness</em>, in their willingness to comply with examination criteria and the professional's instructions. The patient's primary concern was achieving a good examination result, for which they were prepared to push themselves beyond their usual limits.</p><p>Participating in diagnostic imaging examinations may be viewed as a life crisis ritual<em>,</em> wherein patients are constituted as liminal beings, existing between healthy and sick.</p></div><div><h3>Conclusions</h3><p>The existential implications of an imaging examination were clear in terms of hope and trust. Hope is related to life and death in two temporal perspectives: A future hope of surviving cancer and a present hope of being cancer-free. Hope was linked to avoiding despair and rested on trusting oneself to technology, thus, forming a circle of interrelated concepts.</p></div><div><h3>Implications for practice</h3><p>Professionals need to recognize the patients’ liminal passings yet, unnoticed transformative and existential implications, to perform better patient-centered care.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424001901/pdfft?md5=2c7070e823ffc4610f0877233493604a&pid=1-s2.0-S1078817424001901-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting practitioners to talk about sexual wellness and pleasure during radiotherapy for gynaecological cancer","authors":"","doi":"10.1016/j.radi.2024.06.012","DOIUrl":"10.1016/j.radi.2024.06.012","url":null,"abstract":"<div><h3>Introduction</h3><p>Radiotherapy treatment for gynaecological cancer has significant negative effects on sexual wellness and pleasure (1–3). Patients undergoing radiotherapy for gynaecological cancers have more sexual dysfunction and experience more sexual and depressive symptoms than those who undergo surgery alone (4). The World Health Organization defines sexual health as a crucial part of health and wellbeing and recognizes the importance of positive and respectful approaches to sexuality, alongside safe and pleasurable sexual experiences free from violence and coercion (5).</p></div><div><h3>Methods</h3><p>Taking a sex critical approach to sexual wellness and pleasure, this project aimed to support practitioners to have improved and impactful conversations with people receiving radiotherapy treatment for gynaecological cancers. A series of three professional development workshops were held to explore language, unpack assumptions and develop key competencies for practitioners. A fourth workshop involved co-development of resources for use by other practitioners.</p></div><div><h3>Results</h3><p>The group united, sharing insights, learning, and developing practices through reflection developing critical awareness about damaging silences around sexual wellness and pleasure. Co-created resources included conversation cards and a poster.</p></div><div><h3>Conclusion</h3><p>The project aimed to build and extend research findings to develop practitioner skills in supporting sexual wellness and pleasure for people receiving gynae-radiotherapy. The study shows the benefits of discussing norms and harms associated with biomedically focused conversations in gynae-radiotherapy to acknowledge diversity and validate concerns about sexual wellbeing and pleasure.</p></div><div><h3>Implications for practice</h3><p>A sex critical approach to sexual wellness and pleasure should be considered a core principle of care for patients during their treatment for gynaecological cancers. Conversations are a key (free) resource within the practitioner-patient relationship that can address and improve patients’ psychosocial wellbeing.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424001603/pdfft?md5=558b16465e8f00116b385e3c0e639e4b&pid=1-s2.0-S1078817424001603-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surface dose measurement by optically stimulated luminescent dosimeter: A phantom study","authors":"","doi":"10.1016/j.radi.2024.06.011","DOIUrl":"10.1016/j.radi.2024.06.011","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Radiotherapy<span> is the standard treatment for breast cancer patients after surgery. However, radiotherapy can cause side effects such as dry and moist </span></span>desquamation<span> of the patient's skin. The dose calculation from a treatment planning system (TPS) might also be inaccurate. The purpose of this study is to measure the surface dose on the CIRS thorax phantom by an optically stimulated luminescent dosimeter (OSLD).</span></p></div><div><h3>Methods</h3><p>The characteristics of OSLD were studied in terms of dose linearity, reproducibility, and angulation dependence on the solid water phantom. To determine the surface dose, OSLD (Landauer lnc., USA) was placed on 5 positions at the CIRS phantom (Tissue Simulation and Phantom Technology, USA). The five positions were at the tip, medial, lateral, tip-medial, and tip-lateral. Then, the doses from OSLD and TPS were compared.</p></div><div><h3>Results</h3><p>The dosimeter's characteristic test was good. The maximum dose at a depth of 15 mm was 514.46 cGy, which was at 100%. The minimum dose at the surface was 174.91 cGy, which was at 34%. The results revealed that the surface dose from TPS was less than the measurement. The percent dose difference was −2.17 ± 6.34, −12.08 ± 3.85, and −48.71 ± 1.29 at the tip, medial, and lateral positions, respectively. The surface dose from TPS at tip-medial and tip-lateral was higher than the measurement, which was 12.56 ± 5.55 and 10.45 ± 1.76 percent dose different, respectively.</p></div><div><h3>Conclusion</h3><p>The percent dose difference is within the acceptable limit, except for the lateral position because of the body curvature. However, OSLD is convenient to assess the radiation dose, and further study is to measure in vivo.</p></div><div><h3>Implication for practice</h3><p>The OSL NanoDot dosimeter can be used for dose validation with a constant setup location. The measurement dose is higher than the dose from TPS, except for some tilt angles.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A single centre service evaluation of patients’ experiences participating in radiotherapy clinical trials during and post COVID-19 in Northern Ireland, UK","authors":"","doi":"10.1016/j.radi.2024.06.014","DOIUrl":"10.1016/j.radi.2024.06.014","url":null,"abstract":"<div><h3>Introduction</h3><p>Radiotherapy (RT) clinical trials allow patients to access cutting-edge innovative cancer treatments. Clinical Research Therapy Radiographers (CRRs) play an important role in the management and care of RT trial patients. The COVID-19 pandemic caused major disruption to RT trial delivery. Measures to mitigate COVID-19 risk continue to have an effect on patient contact and communication within cancer centres in the United Kingdom (UK). This study aimed to explore patient perspectives regarding their recent RT trial experience in Northern Ireland (NI), UK.</p></div><div><h3>Methods</h3><p>A single centre service evaluation was conducted in NI. Patients who were recruited into a RT clinical trial from January 2020 to January 2023 were invited to participate. Surveys were posted to 50 participants in April 2023. Quantitative and qualitative data was captured and analysed using descriptive statistics and Braun and Clarke's six-step thematic analysis framework respectively. Ethical approval was obtained through Ulster University and the NHS Trust.</p></div><div><h3>Results</h3><p>Forty-three of the 50 invited participants responded (86%). Forty-two respondents (79%) had a prostate cancer diagnosis. Forty-one (98%) participants indicated that CRRs were always approachable, polite and courteous and would recommend taking part in a RT trial to friends and family. Identified areas for improvement included aspects regarding consent and participant decision-making.</p></div><div><h3>Conclusion</h3><p>This study suggests that despite the implemented measures to suspend research and mitigate COVID-19 risk, patients remained highly satisfied with the quality of care that they received through their participation in RT trials.</p></div><div><h3>Implications for practice</h3><p>The results of this service evaluation will facilitate maintenance and improvement of patient focused delivery of cancer trials within the host centre. This study builds on evidence highlighting the importance of the CRR role and role development for radiographers.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424001627/pdfft?md5=4a5e82f7cabecb00a75ecb16e9d34a4e&pid=1-s2.0-S1078817424001627-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary clinical evaluation: Where are we? An international scoping review","authors":"","doi":"10.1016/j.radi.2024.08.008","DOIUrl":"10.1016/j.radi.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><p>The College of Radiographers’ vision was that diagnostic radiographers in the UK would be writing preliminary clinical evaluations (PCE) on images. Their 2013 policy supporting the use of PCE has not been updated in a decade and it might be suggested PCE practices in the UK have not really moved on, though elsewhere it appears to have gained traction. The aim of this scoping review was to establish the current global status of the use of PCE.</p></div><div><h3>Method</h3><p>The Arksey and O'Malley scoping review framework and PRISMA-ScR guidelines were used to develop a protocol to identify studies between January 2013 to January 2024 using six databases. Collated literature was analysed using content analysis to identify themes.</p></div><div><h3>Results</h3><p>52 relevant studies were identified for inclusion. Studies focused predominantly on evaluating accuracy, education, perceptions, and new initiatives. Themes identified a developing role in the use of PCE internationally, perhaps more than in the UK, and in a range of modalities and clinical settings though projectional radiography remains the mainstay. Barriers and drivers to the use of PCE were identified in addition to some quality mechanisms used to support PCE implementation, though impact of implementation was not well explored.</p></div><div><h3>Conclusion</h3><p>Considering PCE has been an aspiration for more than a decade, it remains relatively infrequently researched. There is growing scope internationally, particularly in Australia, yet there is no real evaluation of the impact and role that PCE may have.</p></div><div><h3>Implications for practice</h3><p>Until further research into the potential impact of PCE and barriers to its implementation, it is likely practices may not evolve with the risk AI technologies may supersede necessity for the practice.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424002050/pdfft?md5=9feb1a95cc93b892000c6c3d1946719b&pid=1-s2.0-S1078817424002050-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Radiography students' viewpoints of the clinical learning environment: A cross-sectional study” [Radiography 30 (1) (January 2024) 367–374]","authors":"","doi":"10.1016/j.radi.2024.07.008","DOIUrl":"10.1016/j.radi.2024.07.008","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424001822/pdfft?md5=2d71e7ff73dc9d854dc08900868e20f7&pid=1-s2.0-S1078817424001822-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring end of life care provision during medical imaging in hospitals: Analysis of survey data from the UK radiography workforce","authors":"","doi":"10.1016/j.radi.2024.07.003","DOIUrl":"10.1016/j.radi.2024.07.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Patients receiving end-of-life care often undergo medical imaging examinations in hospitals to inform symptom management and care. Yet little is known about the experiences of the radiography workforce who deliver it. This study aims to describe and explore experiences of the UK radiography workforce delivering medical imaging as part of patients’ end-of-life care.</p></div><div><h3>Methods</h3><p>A mixed method cross-sectional online survey disseminated via social media and national organisations from September 2023 to January 2024. Diagnostic radiographers, assistant practitioners and radiology assistants involved in the medical imaging of patients receiving end-of-life care in UK hospitals.</p></div><div><h3>Results</h3><p>120 valid responses were received. Most respondents received no education/training (91.6%) on the role of medical imaging in end-of-life care, despite 87.7% expressing a need for education, particularly around adopting supportive/palliative-centric communication techniques. Although most respondents (89.2%) had heard of end-of-life care, some had difficulty understanding the role of medical imaging in end-of-life care. Insufficient information provided on imaging requests hindered the workforces’ ability to determine and understand the appropriate use of medical imaging during end-of-life care. These uncertainties exacerbated negative emotions, with 80.8% of respondents indicating that they felt emotional during or after imaging patients on end-of-life care.</p></div><div><h3>Conclusion</h3><p>Educational and policy needs were identified around facilitating more supportive/palliative-centric communication techniques and providing the radiography workforce with the knowledge to better understand, explain, deliver and where necessary, challenge the use of medical imaging in end-of-life care.</p></div><div><h3>Implications for practice</h3><p>This study has evidenced the important role the radiography workforce play in generalist end-of-life care. However, there is a need for training to support practitioners as well as appropriate policies to develop supportive and high-quality end-of-life care in medical imaging.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424001779/pdfft?md5=06ad829d79cf84e501e9b2600e506a5a&pid=1-s2.0-S1078817424001779-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}